What is Implantable Loop Recorder Insertion: Overview, Benefits, and Expected Results
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An implantable loop recorder insertion refers to the procedure wherein an electrocardiographic monitoring device is subcutaneously implanted into the chest to diagnose heart rhythm issues in the presence of symptoms, such as palpitations or fainting. The device works by keeping track of the patient’s heart rhythm over an extended period of up to two years. The procedure is generally safe and poses only minor risks usually associated with the required incision.
من يجب أن يخضع للنتائج المتوقعة
The procedure can be recommended for patients suspected of having a heart rhythm problem and experiencing symptoms, such as:
- Lightheadedness
- Dizziness
- Palpitations
- Loss of consciousness or fainting
- Seizures
An implantable loop recorder is specifically useful for patients who do not experience the said symptoms often enough for them to be recorded using 24-hour or 30-day external devices. The device, which can provide 2 years of constant monitoring, can capture even isolated occurrences.
Following the procedure, the device begins to record the heart’s electrical activity. Its goal is to identify any irregularities to confirm whether the symptoms are in fact related to or caused by heart rhythm issues such as atrial fibrillation, myocardial infarction, and genetic disorders affecting the heart.
Regular follow-ups with a cardiologist are scheduled after the procedure to check the recorded information. However, patients can also simply call their cardiologist if they experienced any significant symptoms and used the activator to record it. This way, the cardiologist will arrange for the information to be downloaded at the soonest possible time.
Once enough information has been collected to support a diagnosis, the ILR device can be removed.
كيف يتم إجراء العملية؟
The insertion of loop recorder is an outpatient procedure performed by an electrophysiologist, a physician specialising in the heart’s electrical system. After identifying the best position for the device using ECG electrodes, the device is inserted just beneath the skin, usually in the left parasternal region. It will then be programmed to the required settings using radiofrequency before the small incision is closed with dissolvable stitches. The whole procedure, which is performed under local anaesthesia, takes just 15 to 20 minutes. The patient is then given antibiotics to prevent the risk of infection.
Following the procedure, the patient is taught how and when to use the device. To capture and record a specific episode, a handheld activator is simply placed over the chest area where the device was implanted each time symptoms outlined above are experienced.
An implantable loop recorder can store 3 activations at any given time, which means that on the third activation, previous recordings will be overwritten.
المخاطر والمضاعفات المحتملة
Although it is a simple procedure, an implantable loop recorder insertion still carries a few risks, including those commonly associated with medical procedures that require an incision or leaves a residual wound such as:
- تندب
- نزيف
- عدوى
مراجع:
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Sosin MD., Cadigan PJ., Connolly DL. “Should you remove an implantable loop recorder after the diagnosis is made?” Heart. 2003 Sep; 89(9): 1013. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1767828/
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Lammey ML., Jackson R., Ely JJ., Lee DR., Sleeper MM. “Use of an implantable loop recorder in the investigation of arrhythmias in adult captive chimpanzees.” Comp Med. 2011 Feb; 61(1): 71-75. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3060426/
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Roebuck A., Mercer C., Denman J., Houghton AR. “Experiences from a non-medical, non-catheter laboratory implantable loop recorder ILR service.” Br J Cardiol 2015 February; 22:36. https://bjcardio.co.uk/2015/02/experiences-from-a-non-medical-non-catheter-laboratory-implantable-loop-recorder-ilr-service/
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### **Implantable Insertion: Comprehensive Overviews & Expected Outcomes**
Implantable insertion is a minimally invasive procedure in which a small device or implant is placed inside the body. It has various applications ranging from medical treatments, to contraception, and even cosmetic surgeries.
**1. What are the benefits of Implantable Insertion?**
* **Convenience:** Implantable insertion offers convenience and ease of use compared to other treatment methods. For instance, contraceptive implants eliminate the hassle of remembering to take oral contraceptives daily, and pain management implants provide long-lasting relief without the need for frequent medication administration.
* **Effectiveness:** Implantable insertion is often highly effective. Contraceptive implants, for example, have a failure rate of less than 1%, which is significantly lower than other non-implantable contraceptive methods. Pain management implants also provide consistent and long-lasting pain relief, often with fewer side effects than oral medications.
* **Long-term results:** Implantable insertions often provide long-term benefits. Contraceptive implants can last up to 5 years, pain management implants can provide relief for years, and cosmetic implants can offer permanent results.
**2. What are the expected results of Implantable Insertion?**
The expected results of an implantable insertion depend on the specific application.
* **Contraception:** Implantable insertions are highly effective in preventing unintended pregnancy. The most common implant, which is a small, flexible rod, is inserted under the skin of the upper arm. It releases hormones that prevent ovulation, fertilization, or implantation of a fertilized egg.
* **Pain management:** Implantable pain management devices are used to deliver medication directly to the source of pain. These devices are typically implanted in the spine or near major nerve bundles. They release medication continuously, providing consistent pain relief.
* **Cosmetic surgery:** Implantable devices are also used in cosmetic surgery to achieve various aesthetic outcomes. For example, breast implants enhance the size and shape of the breasts, while chin implants improve the facial profile.
**3. What are the Potential Disadvantages of getting Implant insertions?**
**Minor discomfort:** Implantable insertions involve minor surgical procedures, which can lead to some discomfort and pain at the insertion site.
**Infection:** There is a small risk of infection at the insertion site.
**Device failure:** While implantable devices are generally reliable, there is the possibility of device failure. This can lead to complications and require additional surgery to correct.
**4. Is Implantable insertion right for you?**
Implantable insertion may be a suitable option for you if you are seeking long-term, convenient, and effective treatment for a medical condition, are looking to prevent pregnancy, or desire to improve your appearance through cosmetic surgery. Consult with your healthcare provider to determine if implantable insertion is the best course of action for your individual needs.
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